| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,244 |
7,613 |
$1.58M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,896 |
6,807 |
$1.48M |
| 71045 |
Radiologic examination, chest; single view |
1,195 |
946 |
$190K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,169 |
930 |
$84K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,113 |
752 |
$79K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
416 |
293 |
$54K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,683 |
5,090 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,159 |
942 |
$33K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
35 |
18 |
$29K |
| 80053 |
Comprehensive metabolic panel |
3,763 |
2,764 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
11,412 |
7,608 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
164 |
131 |
$23K |
| 99217 |
|
53 |
42 |
$22K |
| 99218 |
|
64 |
50 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,128 |
554 |
$17K |
| G0378 |
Hospital observation service, per hour |
81 |
46 |
$17K |
| 99221 |
|
25 |
13 |
$14K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
13 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
48 |
37 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,284 |
1,389 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
934 |
679 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
110 |
92 |
$6K |
| 87428 |
|
256 |
211 |
$6K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
436 |
324 |
$5K |
| 84484 |
|
570 |
318 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
155 |
88 |
$3K |
| 83690 |
|
657 |
502 |
$2K |
| 81001 |
|
861 |
636 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
73 |
62 |
$2K |
| 83735 |
|
494 |
283 |
$2K |
| 80050 |
General health panel |
13 |
12 |
$1K |
| 81025 |
|
187 |
129 |
$1K |
| 87430 |
|
83 |
74 |
$1K |
| 85027 |
|
322 |
246 |
$811.20 |
| 87641 |
|
60 |
40 |
$703.70 |
| 87807 |
|
52 |
44 |
$573.08 |
| 80076 |
|
154 |
117 |
$464.28 |
| 87070 |
|
41 |
39 |
$398.46 |
| 83605 |
|
38 |
24 |
$249.86 |
| 81003 |
|
104 |
76 |
$168.75 |
| 84703 |
|
31 |
26 |
$156.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
14 |
$154.35 |
| 82607 |
|
15 |
12 |
$110.97 |
| 76937 |
|
29 |
24 |
$101.72 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
40 |
26 |
$78.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
13 |
$70.68 |
| 82248 |
|
17 |
13 |
$43.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
375 |
291 |
$0.96 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
304 |
228 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
238 |
190 |
$0.00 |
| 99152 |
|
29 |
25 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
29 |
25 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
238 |
180 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
13 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
96 |
67 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
19 |
13 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
31 |
25 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
29 |
25 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$0.00 |
| 88342 |
|
21 |
12 |
$0.00 |